AUTUMN C WILLS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

AUTUMN

Middle

Last Name

WILLS

Business Name

AUTUMN C WILLS

Original Issue Date

11/08/2006

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

01/27/2026